Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.76 / $384.23 / $1,876.96	Professional		$340.76	$384.23	$1,876.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.47 / $537.46 / $1,033.33	Professional		$372.47	$537.46	$1,033.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.90	Facility		$66.00	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $262.17 / $394.32 / $976.62	Professional		$262.17	$394.32	$976.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.42 / $468.16 / $1,420.49	Professional		$354.42	$468.16	$1,420.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $387.18 / $522.69	Professional		$158.22	$387.18	$522.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.46 / $446.78 / $797.32	Professional		$348.46	$446.78	$797.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,278.98 / $9,388.90 / $12,000.00	Facility		$2,278.98	$9,388.90	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,576.40 / $2,631.76 / $2,931.38	Professional		$2,576.40	$2,631.76	$2,931.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.22 / $448.94 / $667.00	Facility		$343.22	$448.94	$667.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.42 / $468.16 / $1,006.81	Professional		$354.42	$468.16	$1,006.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,164.61 / $1,164.61 / $1,164.61	Professional		$1,164.61	$1,164.61	$1,164.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $279.35 / $429.75	Professional		$158.22	$279.35	$429.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,046.00 / $2,699.00 / $7,655.00	Facility		$1,046.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.54 / $448.37 / $1,048.05	Professional		$298.54	$448.37	$1,048.05